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See a sample rate comparisonCPT 27485 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Arrest Hemiepiphyseal Distal Femur Or Proxim Tibia Or Fibula, Arrest Hemiepiphyseal Distal Femur Or Proximal Tibia Or Fibula (Eg
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27485 |
| Medicaid Fee Schedule | View Medicaid rates for 27485 |
National average reimbursement for CPT 27485 by major payers:
$909.33
$907.42
$953.79
$1,106.82
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CPT 27485
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$7,264.00Published rateUnited Medical Park Asc LLC
$3,203.00Published rateBaptist Health Surgery Center LLC
Baptist Health Surgery Center, L
$2,096.00Published rateMedical And Dental Center Of Nevada LLC
$1,229.00Published rateMelbourne Asc Lp, The Surgery Center Of Melbourne
Melbourne Asc Lp
$410.00Published rate
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See a sample payer proposalCPT 27485 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27485 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 27485 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 27457-CPT | High | Knee/Leg Surgery, Osteotomy Proximal Tibia Including Fibular Excision Or Osteotomy (Includes Correction Of Genu Varus (Bowleg) Or Genu Valgus (Knock-Knee)) Unilateral; After Epiphyseal Closure |
| 27479-CPT | High | Arrest Epiphyseal Any Method, Arrest Epiphyseal Any Method (Eg Epiphydiodesis)Combined Distal Femur Proximal Tibia And Fibulaarrest Epiphyseal Any Method (Eg Epiphydiodes Is) |
| 27485-CPT | Moderate | Arrest Hemiepiphyseal Distal Femur Or Proxim Tibia Or Fibula, Arrest Hemiepiphyseal Distal Femur Or Proximal Tibia Or Fibula (Eg |
| 27503-CPT | High | Treatment Of Thigh Fracture, Closed Treatment Of Supracondylar Or Transcondylar Femoral Fracture With Or Without Intercondylar Extension With Manipulation With Or Without Skin Or Skeletal Traction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27485 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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